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Summarized Condensed Consolidating and Combining Information - Condensed Consolidating and Combining Statements of Cash Flows (Detail) - USD ($)
$ in Thousands
12 Months Ended
Aug. 18, 2015
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Cash flows from operating activities:        
Net cash (used in) provided by operating activities   $ 40,254 $ 21,906 $ 26,632
Cash flows from investing activities:        
Acquisition of real estate   (232,466) (25,742) (35,656)
Improvements to real estate   (187) (579) 0
Purchases of equipment, furniture and fixtures   (276) (19,275) (19,931)
Preferred equity investment   0 (7,500) 0
Escrow deposits for acquisition of real estate   (1,750) (500) 0
Net proceeds from the sale of vacant land   30 0 0
Distribution from subsidiary   0 0  
Intercompany financing   0 0  
Cash proceeds from sale of equipment, furniture and fixtures   0 0 854
Net cash used in investing activities   (234,649) (53,596) (54,733)
Cash flows from financing activities:        
Proceeds from the issuance of common stock, net $ 163,700 162,963 0 0
Proceeds from the issuance of senior unsecured notes payable   0 260,000 0
Borrowings under unsecured revolving credit facility   45,000 0 0
Borrowings under senior secured revolving credit facility   35,000 10,000 58,700
Proceeds from the issuance of mortgage notes payable   0 50,676 0
Repayments of borrowings under senior secured revolving credit facility   (35,000) (88,701) 0
Payments on the mortgage notes payable   (3,183) (68,155) (3,457)
Net-settle adjustment on restricted stock   (145) 0 0
Payments on senior secured term loan   0 (65,624) (3,750)
Payments of deferred financing costs   (2,303) (13,436) (730)
Net contribution from Ensign     4,356 (22,502)
Dividends paid on common stock   (21,790) (33,001) 0
Distribution to Parent   0 0  
Intercompany financing   0 0  
Net cash provided by financing activities   180,542 56,115 28,261
Net (decrease) increase in cash and cash equivalents   (13,853) 24,425 160
Cash and cash equivalents, beginning of period   25,320 895 735
Cash and cash equivalents, end of period   11,467 25,320 895
Reportable Legal Entities [Member] | Parent Guarantor [Member]        
Cash flows from operating activities:        
Net cash (used in) provided by operating activities   (15) 0  
Cash flows from investing activities:        
Acquisition of real estate   0 0  
Improvements to real estate   0 0  
Purchases of equipment, furniture and fixtures   0 0  
Preferred equity investment     0  
Escrow deposits for acquisition of real estate   0 0  
Net proceeds from the sale of vacant land   0    
Distribution from subsidiary   21,790 33,001  
Intercompany financing   (162,803) 0  
Net cash used in investing activities   (141,013) 33,001  
Cash flows from financing activities:        
Proceeds from the issuance of common stock, net   162,963    
Proceeds from the issuance of senior unsecured notes payable     0  
Borrowings under unsecured revolving credit facility   0    
Borrowings under senior secured revolving credit facility   0 0  
Proceeds from the issuance of mortgage notes payable     0  
Repayments of borrowings under senior secured revolving credit facility   0 0  
Payments on the mortgage notes payable   0 0  
Net-settle adjustment on restricted stock   (145)    
Payments on senior secured term loan     0  
Payments of deferred financing costs   0 0  
Net contribution from Ensign     0  
Dividends paid on common stock   (21,790) (33,001)  
Distribution to Parent   0 0  
Intercompany financing   0 0  
Net cash provided by financing activities   141,028 (33,001)  
Net (decrease) increase in cash and cash equivalents   0 0  
Cash and cash equivalents, beginning of period   0 0  
Cash and cash equivalents, end of period   0 0 0
Reportable Legal Entities [Member] | Issuers [Member]        
Cash flows from operating activities:        
Net cash (used in) provided by operating activities   (9,894) (21,185)  
Cash flows from investing activities:        
Acquisition of real estate   (232,466) (25,742)  
Improvements to real estate   (19) 0  
Purchases of equipment, furniture and fixtures   (195) (95)  
Preferred equity investment     0  
Escrow deposits for acquisition of real estate   (1,750) (500)  
Net proceeds from the sale of vacant land   0    
Distribution from subsidiary   0 0  
Intercompany financing   46,761 (141,231)  
Net cash used in investing activities   (187,669) (167,568)  
Cash flows from financing activities:        
Proceeds from the issuance of common stock, net   0    
Proceeds from the issuance of senior unsecured notes payable     260,000  
Borrowings under unsecured revolving credit facility   45,000    
Borrowings under senior secured revolving credit facility   35,000 0  
Proceeds from the issuance of mortgage notes payable     0  
Repayments of borrowings under senior secured revolving credit facility   (35,000) 0  
Payments on the mortgage notes payable   0 0  
Net-settle adjustment on restricted stock   0    
Payments on senior secured term loan     0  
Payments of deferred financing costs   (2,303) (12,926)  
Net contribution from Ensign     0  
Dividends paid on common stock   0 0  
Distribution to Parent   (21,790) (33,001)  
Intercompany financing   162,803 0  
Net cash provided by financing activities   183,710 214,073  
Net (decrease) increase in cash and cash equivalents   (13,853) 25,320  
Cash and cash equivalents, beginning of period   25,320 0  
Cash and cash equivalents, end of period   11,467 25,320 0
Reportable Legal Entities [Member] | Combined Subsidiary Guarantors [Member]        
Cash flows from operating activities:        
Net cash (used in) provided by operating activities   44,675 38,955 24,793
Cash flows from investing activities:        
Acquisition of real estate   0 0 (35,656)
Improvements to real estate   (168) (579)  
Purchases of equipment, furniture and fixtures   (81) (14,819) (15,728)
Preferred equity investment     (7,500)  
Escrow deposits for acquisition of real estate   0 0  
Net proceeds from the sale of vacant land   30    
Distribution from subsidiary   0 0  
Intercompany financing   0 0  
Cash proceeds from sale of equipment, furniture and fixtures       854
Net cash used in investing activities   (219) (22,898) (50,530)
Cash flows from financing activities:        
Proceeds from the issuance of common stock, net   0    
Proceeds from the issuance of senior unsecured notes payable     0  
Borrowings under unsecured revolving credit facility   0    
Borrowings under senior secured revolving credit facility   0 10,000 58,700
Proceeds from the issuance of mortgage notes payable     0  
Repayments of borrowings under senior secured revolving credit facility   0 (88,701)  
Payments on the mortgage notes payable   (558) (66,905) (2,249)
Net-settle adjustment on restricted stock   0    
Payments on senior secured term loan     (65,624) (3,750)
Payments of deferred financing costs   0 0 (730)
Net contribution from Ensign     52,385 (26,074)
Dividends paid on common stock   0 0  
Distribution to Parent   0 0  
Intercompany financing   (43,898) 141,893  
Net cash provided by financing activities   (44,456) (16,952) 25,897
Net (decrease) increase in cash and cash equivalents   0 (895) 160
Cash and cash equivalents, beginning of period   0 895 735
Cash and cash equivalents, end of period   0 0 895
Reportable Legal Entities [Member] | Combined Non-Guarantor Subsidiaries [Member]        
Cash flows from operating activities:        
Net cash (used in) provided by operating activities   5,488 4,136 1,839
Cash flows from investing activities:        
Acquisition of real estate   0 0 0
Improvements to real estate   0 0  
Purchases of equipment, furniture and fixtures   0 (4,361) (4,203)
Preferred equity investment     0  
Escrow deposits for acquisition of real estate   0 0  
Net proceeds from the sale of vacant land   0    
Distribution from subsidiary   0 0  
Intercompany financing   0 0  
Cash proceeds from sale of equipment, furniture and fixtures       0
Net cash used in investing activities   0 (4,361) (4,203)
Cash flows from financing activities:        
Proceeds from the issuance of common stock, net   0    
Proceeds from the issuance of senior unsecured notes payable     0  
Borrowings under unsecured revolving credit facility   0    
Borrowings under senior secured revolving credit facility   0 0 0
Proceeds from the issuance of mortgage notes payable     50,676  
Repayments of borrowings under senior secured revolving credit facility   0 0  
Payments on the mortgage notes payable   (2,625) (1,250) (1,208)
Net-settle adjustment on restricted stock   0    
Payments on senior secured term loan     0 0
Payments of deferred financing costs   0 (510) 0
Net contribution from Ensign     (48,029) 3,572
Dividends paid on common stock   0 0  
Distribution to Parent   0 0  
Intercompany financing   (2,863) (662)  
Net cash provided by financing activities   (5,488) 225 2,364
Net (decrease) increase in cash and cash equivalents   0 0 0
Cash and cash equivalents, beginning of period   0 0 0
Cash and cash equivalents, end of period   0 0 0
Elimination [Member]        
Cash flows from operating activities:        
Net cash (used in) provided by operating activities   0 0  
Cash flows from investing activities:        
Acquisition of real estate   0 0  
Improvements to real estate   0 0  
Purchases of equipment, furniture and fixtures   0 0  
Preferred equity investment     0  
Escrow deposits for acquisition of real estate   0 0  
Net proceeds from the sale of vacant land   0    
Distribution from subsidiary   (21,790) (33,001)  
Intercompany financing   116,042 141,231  
Net cash used in investing activities   94,252 108,230  
Cash flows from financing activities:        
Proceeds from the issuance of common stock, net   0    
Proceeds from the issuance of senior unsecured notes payable     0  
Borrowings under unsecured revolving credit facility   0    
Borrowings under senior secured revolving credit facility   0 0  
Proceeds from the issuance of mortgage notes payable     0  
Repayments of borrowings under senior secured revolving credit facility   0 0  
Payments on the mortgage notes payable   0 0  
Net-settle adjustment on restricted stock   0    
Payments on senior secured term loan     0  
Payments of deferred financing costs   0 0  
Net contribution from Ensign     0  
Dividends paid on common stock   0 0  
Distribution to Parent   21,790 33,001  
Intercompany financing   (116,042) (141,231)  
Net cash provided by financing activities   (94,252) (108,230)  
Net (decrease) increase in cash and cash equivalents   0 0  
Cash and cash equivalents, beginning of period   0 0  
Cash and cash equivalents, end of period   $ 0 $ 0 $ 0